Cancer-Related Alopecia: From Etiologies to Global Management

Alopecia represents a multifaceted challenge with distinct etiologies and consequences. Transposed to the world of oncology, different types of alopecia and molecular pathways have been characterized, allowing a better understanding of the underlying mechanisms. In patients with cancer, alopecia can...

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Main Authors: Stanislas Quesada, Alexandre Guichard, Frédéric Fiteni
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/21/5556
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author Stanislas Quesada
Alexandre Guichard
Frédéric Fiteni
author_facet Stanislas Quesada
Alexandre Guichard
Frédéric Fiteni
author_sort Stanislas Quesada
collection DOAJ
description Alopecia represents a multifaceted challenge with distinct etiologies and consequences. Transposed to the world of oncology, different types of alopecia and molecular pathways have been characterized, allowing a better understanding of the underlying mechanisms. In patients with cancer, alopecia can be iatrogenic (i.e., due to conventional chemotherapies, endocrine therapies, targeted therapies, immunotherapies, radiotherapy and surgery) or a direct consequence of the disease itself (e.g., malnutrition, scalp metastases and paraneoplastic syndromes). Identification of the actual incriminated mechanism(s) is therefore essential in order to deliver appropriate supportive care, whether preventive or curative. On the preventive side, the last few years have seen the advent of the automated cooling cap, a prophylactic approach supported by several randomized clinical trials. On the curative side, although the treatments currently available are limited, several promising therapeutic approaches are under development. Appropriate alopecia management is essential, particularly regarding its psychological repercussions with significant consequences on the quality of life of patients and their family and with a potential impact on treatment compliance.
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spelling doaj.art-ca7a4a04910f4fc784e0497b269bd1aa2023-11-22T20:36:58ZengMDPI AGCancers2072-66942021-11-011321555610.3390/cancers13215556Cancer-Related Alopecia: From Etiologies to Global ManagementStanislas Quesada0Alexandre Guichard1Frédéric Fiteni2Institut Régional du Cancer de Montpellier, 34090 Montpellier, FranceLegacy Healthcare Switzerland SA, 1066 Epalinges, SwitzerlandMedical Oncology Department, University Hospital, 30900 Nîmes, FranceAlopecia represents a multifaceted challenge with distinct etiologies and consequences. Transposed to the world of oncology, different types of alopecia and molecular pathways have been characterized, allowing a better understanding of the underlying mechanisms. In patients with cancer, alopecia can be iatrogenic (i.e., due to conventional chemotherapies, endocrine therapies, targeted therapies, immunotherapies, radiotherapy and surgery) or a direct consequence of the disease itself (e.g., malnutrition, scalp metastases and paraneoplastic syndromes). Identification of the actual incriminated mechanism(s) is therefore essential in order to deliver appropriate supportive care, whether preventive or curative. On the preventive side, the last few years have seen the advent of the automated cooling cap, a prophylactic approach supported by several randomized clinical trials. On the curative side, although the treatments currently available are limited, several promising therapeutic approaches are under development. Appropriate alopecia management is essential, particularly regarding its psychological repercussions with significant consequences on the quality of life of patients and their family and with a potential impact on treatment compliance.https://www.mdpi.com/2072-6694/13/21/5556alopeciasupportive carepsycho-oncologyquality of life
spellingShingle Stanislas Quesada
Alexandre Guichard
Frédéric Fiteni
Cancer-Related Alopecia: From Etiologies to Global Management
Cancers
alopecia
supportive care
psycho-oncology
quality of life
title Cancer-Related Alopecia: From Etiologies to Global Management
title_full Cancer-Related Alopecia: From Etiologies to Global Management
title_fullStr Cancer-Related Alopecia: From Etiologies to Global Management
title_full_unstemmed Cancer-Related Alopecia: From Etiologies to Global Management
title_short Cancer-Related Alopecia: From Etiologies to Global Management
title_sort cancer related alopecia from etiologies to global management
topic alopecia
supportive care
psycho-oncology
quality of life
url https://www.mdpi.com/2072-6694/13/21/5556
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